Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIE DARE TAYLOR, ABOC,NCLEC,MBOC
Active Sole ProprietorMR. WILLIE DARE TAYLOR, ABOC,NCLEC,MBOC is a Optician, Dispensing healthcare provider located in NORTHVILLE, Michigan. NPI 1356780704 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · NORTHVILLE, MI
Registration Details
- NPI Number
- 1356780704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2013 (13.184306479499 yrs)
- Last Updated
- Jun 19, 2013
- License
-
151016 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
723 RIVER PARK VILLAGE BLVDMOBILE UNIT DISPENSARYNORTHVILLE, MI, 481672777Browse MI providers · Browse ZIP 48167
- Phone
- 3133787883
- Fax
- 2484659985
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.